[Percutaneous endo-retro-pyelotomy: an elective treatment method in stenosis of the uretero-pelvic junction].
Fifteen adult patients diagnosed as having congenital stricture of the ureteropelvic junction were treated by percutaneous endoureteropyelotomy. Our results were clinically satisfactory in 85.7% (excellent acured 57.1%, good/with occasional mild discomfort 28.5%). Radiologically, 64.2% were normal and 14.2% had mild ectasia but good renal function. No clinical improvement was observed in 14.2% and 21.4% had persistent hydronephrosis indicating the procedure had failed. The most important complication was intraoperative hemorrhage from effraction of an inferior polar artery which required a conventional lumbotomy procedure and Anderson-Hynes pyeloplasty. The foregoing results, with the limitations inherent in data from a small series, indicate that endoureteropyelotomy is the procedure of choice in the treatment of congenital UPJ strictures in the adult patient.
Rivas Alonso
A
A
Servicio de Urología, Hospital Virgen del Camino, Pamplona, España.
González de Garibay
A S
AS
Idígora Planas
J
J
Millán Serrano
J A
JA
Sebastián Borruel
J L
JL
D000328:Adult; D006801:Humans; D007682:Kidney Pelvis / Q000002:abnormalities* / Q000601:surgery; D008722:Methods; D014513:Ureter / Q000002:abnormalities* / Q000601:surgery; D014517:Ureteral Obstruction / Q000151:congenital / Q000209:etiology* / Q000601:surgery
Endoureteropielotomía percutánea: un tratamiento de elección en las estenosis de la UPU.